Commercial Loan Application. Personal Financial Statement. Certification of Personal Financial Statement

Size: px
Start display at page:

Download "Commercial Loan Application. Personal Financial Statement. Certification of Personal Financial Statement"

Transcription

1 Thank you for your interest in pursuing financing with Valley National Bank. In order to begin the analysis of your credit request, please complete the following: Commercial Loan Application Personal Financial Statement Certification of Personal Financial Statement (applicable if using a non-valley National Bank PFS) Your Bank at VNB will advise you if additional information is needed.

2 Applicant Name: Applicant Address: COMMERCIAL LOAN APPLICATION DBA Name: Address: Phone Number: Cell Phone: Company Structure: C Corp S Corp LLC Partnership Sole Prop. Individual Other Tax ID Number: Business Description: Names of Persons Authorized to Borrow Money on Behalf of and In the Name of the Applicant: Income Tax Return Filed Through What Date: Are Any Returns Being Contested or Audited: Yes No LOAN REQUEST Amount Requested $ Secured Unsecured Requested Term: Purpose of Credit Request: Sources of Repayment: Guarantor(s): COLLATERAL OFFERED BY APPLICANT Description Value Total Liens Ownership Status for Applicant Creditor Name Comments: Purchase Money Purchase Money Purchase Money Purchase Money Presently Owned Presently Owned Presently Owned Presently Owned Were your gross revenues $1,000,000 or less in your previous year? Yes No If you answered Yes and the Creditor denies your application for credit, you have the right to a written statement of the specific reasons for the denial. To obtain the statement within 60 days from the date you are notified of Creditor s decision, please contact: Valley National Bank P.O. Box Tulsa, OK The Creditor will send you a written statement of reasons for the denial within 30 days of receiving your request for the statement. The notice at right describes additional protections extended to you. Equal Credit Opportunity Notice NOTICE: The Federal Equal Credit Opportunity Act prohibits creditor from discriminating against credit applications on the basis of race, color, religion, national origin, sex, marital status, age (providing the applicant has the capacity to enter into a binding contract): because all or a part of the applicant s income derives from any public assistance program; or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act, the Federal agency that administers compliance with this law concerning this creditor is: FDIC Consumer Response Center 1100 Walnut Street Box #11 Kansas City, MO This information and the information provided on all accompanying financial statements and schedules is provided for the purpose of obtaining credit for the Applicant(s) or for the purpose of the Applicant(s) guaranteeing credit for others. Applicant(s) acknowledge that representations made in this statement will be relied on by the Creditor in its decision to grant such credit. This Statement is true and correct in every detail and accurately represents the financial condition of the Applicant(s) on the date given below. Creditor is authorized to make all inquiries it deems necessary to verify the accuracy of the information contained herein and to determine the creditworthiness of the Applicant(s). Applicant(s) will promptly notify Creditor of any subsequent changes which would affect the accuracy of this Statement. Creditor is further authorized to answer any questions about Creditor s credit experience with Applicant(s). Applicant(s) are aware that any knowing or willful false statements regarding the value of the above property for purposes of influencing the actions of Creditor can be a violation of Federal law, 18 U.S.C. & 1014, and may result in a fine or imprisonment or both. Rev 0 /2 /201

3 APPLICANT CERTIFICATION To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account or loan. When you (the customer) open an account or loan, we will ask for your name, address, date of birth (for natural persons), tax identification or social security number and other information that will allow us to identify you. We may also ask to see your driver s license or other identifying documents. The information contained in this statement is provided to induce you (Valley National Bank) to extend or to continue the extension of credit to the undersigned or to others upon the guarantee of the undersigned. The undersigned acknowledge and understand that you are relying on the information provided herein in deciding to grant or continue credit to the undersigned or to accept a guarantee from the undersigned. Under penalty for making false statements or overvaluing property to influence the action of any FDIC insured bank, each of the undersigned represents, warrants and certifies that the name, address, or employment and of any material adverse change (1) in any of the information contained in this statement or (2) in the financial condition of any of the undersigned or (3) in the ability of any of the undersigned to perform its (or their) obligations to you. In the absence of such notice or a new and full written statement, this should be considered as a continuing statement and substantially correct. If the undersigned fail to notify you as required above, or if any of the information herein should prove to be inaccurate or incomplete in any respect, you may declare the indebtedness of the undersigned or the indebtedness guaranteed by the undersigned, as the case may be, immediately due and payable. You are authorized, both now and at anytime in the future, to make all inquires you deem necessary to verify the accuracy of the information contained herein and to determine the creditworthiness of the undersigned, including such background checks, employment inquiries, investigations and/or public records searches, as you may deem appropriate. The undersigned authorize, both now and at anytime in the future, any person or consumer reporting agency to give you any information it may have on the undersigned. The Bank is also authorized to furnish information about the undersigned s account to consumer reporting agencies and others who may properly receive that information. As long as any obligation or guarantee of the undersigned to you is outstanding, the undersigned shall supply annually an updated financial statement. This personal financial statement and any other financial or other information that the undersigned give you shall be your property. Borrower Co-Borrower Guarantor By signing below, each applicant declares that he/she has read and understands the statements above. If this is an application for joint credit, Borrower and Co-Borrower each agree that we intend to apply for joint credit (sign below): Borrower Co-Borrower Guarantor By signing below, each applicant declares that he/she has read and understands the statements above. If this is an application for joint credit, Borrower and Co-Borrower each agree that we intend to apply for joint credit (sign below): By: Business Entity Business Entity By: Signature Date Signature Date Print Name It s: Title Individually: Print Name It s: Title Individually: Signature Date Signature Date Print Name Print Name Following is a list of items we may need to expedite our processing of your commercial loan application. The items needed are checked for your convenience. For all Requests: Last 3 years business tax returns and all schedules Last 3 years fiscal year end corporate financial statements Most recent interim financial statements with prior year comparison Current personal financial statements (on forms supplied) on guarantor(s) of the business credit Last 3 years personal tax returns on guarantors including W-2s, K-1s, and all supporting schedules LLC Operating Agreement Articles of Incorporation For equipment or vehicle financing: Copy of purchase invoice Detailed listing of equipment/vehicles Current loan statement (for refinance only) For real estate requests: Copy of purchase contract and warranty deed (if applicable) Current loan statement (for refinance only) Current rent roll and copies of third-party leases (if applicable) Copy of appraisal, tax card, survey, and environmental data (if applicable) For construction project: budget, contract, sources and uses For line of credit requests: Aging of accounts receivable and accounts payable (matching the date of the interims) Detailed listing of current inventory Loan Officer Signature Print Name Date Received Rev /2 /201

4 INFORMATION FOR GOVERNMENT MONITORING PURPOSES Borrower Name: Co-Borrower Name: Requested Loan Amount: Collateral: FOR EXISTING AND NEW LOANS SECURED BY A RESIDENTIAL STRUCTURE, COMPLETE THE INFORMATION BELOW: The following information is requested by the Federal Government for certain types of loans related to a dwelling in order to monitor the lender's compliance with equal credit opportunity, fair housing and home mortgage disclosure laws. You are not required to furnish this information, but are encouraged to do so. The law provides that a lender may not discriminate either on the basis of this information, or on whether you choose to furnish it. If you furnish the information, please provide both ethnicity and race. For race, you may check more than one designation. If you do not furnish ethnicity, race, or sex, under Federal regulations, this lender is required to note the information on the basis of visual observation and surname if you have made this application in person. If you do not wish to furnish the information, please check the box below. (Lender must review the above material to assure that the disclosures satisfy all requirements to which the lender is subject under applicable state law for the particular type of loan applied for.) Borrower: I do not wish to furnish this information. Co-Borrower: I do not wish to furnish this information. Ethnicity: Hispanic or Latino Not Hispanic or Latino Ethnicity: Hispanic or Latino Not Hispanic or Latino Race: American Indian or Alaskan Native Native Hawaiian or Other Pacific Islander Black or African American Asian White Race: American Indian or Alaskan Native Native Hawaiian or Other Pacific Islander Black or African American Asian White Sex: Female Male Sex: Female Male Borrower Signature Co-Borrower Signature Application Taken By: INTERNAL USE ONLY Phone or Mail Application? Yes No In Person (face to face) Application? Yes No Lender Signature Date Application Received Rev /2 /201

5 PERSONAL FINANCIAL STATEMENT AS OF Submitted to Valley National Bank Name:(Individual 1) Address: City: State: Zip Home Ph# Work Ph# Soc. Sec. #: D/O/B If Joint Statement: Name: (Individual 2) Address: City: State: Zip Home Ph# Work Ph# Soc. Sec. #: D/O/B Relationship To Individual 1: Note: If there is a joint party to this financial statement who is either borrowing or guaranteeing the credit under consideration, the columns titled Solely Owned-Individual 2 and Solely Liable Individual 2 must be filled out. ASSETS SOLELY OWNED JOINTLY INDIVIDUAL 1 INDIVIDUAL 2 OWNED TOTAL Cash (includes CD s, Money Markets) (Schedule 1) Government & Readily Marketable Securities (Schedule 2) Non-marketable Securities (Schedule 3) Notes and Accounts Receivable (Schedule 4) Cash Value of Life Insurance (Schedule 5) Personal Residence(s) (Schedule 6) Other Investment Real Estate (Schedule 6) Personal Property Automobiles Ira s, Keoghs & Other Qualified Retirement Funds Other Assets (Describe) TOTAL ASSETS $ $ $ $ LIABILITIES & NET WORTH SOLELY LIABLE JOINTLY INDIVIDUAL 1 INDIVIDUAL 2 LIABLE TOTAL Notes Payable to Banks - secured (Schedule 7) Notes Payable to Banks - unsecured (Schedule 7) Notes Payable to Others - secured (Schedule 7) Notes Payable to Others - unsecured (Schedule 7) Margin Accounts (Schedule 2) Accounts Payable (Include credit cards) (Schedule 7) Real Estate Mortgages Payable (Schedule 6) Taxes Payable (Describe) Settled through: Loans on Life Insurance Policies (Schedule 5) Other Liabilities* (List) TOTAL LIABILITIES $ $ $ $ NET WORTH (Subtract Total Liabilities from Total Assets) $ $ $ $ *Note: Contingent Liabilities Schedule 8 must be completed. If none, then write none on the Schedule. CASH INCOME & EXPENSE STATEMENT FOR THE YEAR ENDED 20 SOURCES OF ANNUAL INCOME ANNUAL EXPENDITURES INDIVIDUAL 1 INDIVIDUAL 2 INDIVIDUAL 1 INDIVIDUAL 2 Wages and Salaries Mortgage/Rent-Residence(s) Bonuses, Commissions, etc. All other Debt Service Interest & Dividends State & Federal Income Taxes Rental Income (Net of Expense) Alimony/Child Support Partnership Draws, Distributions Tuition Other Trust Accts Insurance Living Expenses Other TOTAL CASH INCOME $ TOTAL ANNUAL EXPENSE $ $ Note: If source of income or monthly expenditure is joint, place a J in the appropriate box next to the amount. Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for obtaining credit. Revised 02/15/2013

6 If the space provided is not sufficient, additional schedules may be attached. To indicate ownership in these schedules, circle 1, 2 or J in the appropriate space to indicate Individual 1, Individual 2 or Joint, respectively SCHEDULE 1 - CASH (includes CD s, Money Markets) NAME AND LOCATION OF INSTITUTION ACCOUNT TYPE & NUMBER BALANCE OWNED BY PLEDGED? YES / NO YES / NO YES / NO YES / NO YES / NO TOTAL SCHEDULE 2 - GOVERNMENT AND READILY MARKETABLE SECURITIES FACE VALUE CURRENT MARKET OR # SHARES OWNED BY DESCRIPTION COST VALUE $ $ $ $ $ PLEDGED # SHARES OWNED SCHEDULE 3 - NON-MARKETABLE SECURITIES % OF TOTAL SHARES OWNED BY DESCRIPTION VALUE $ PLEDGED SCHEDULE 4 - NOTES AND ACCOUNTS RECEIVABLE DUE FROM DUE TO ORIGINAL AMT. CURRENT AMT. SECURED? COLLATERAL PAYMENT TERMS $ $ YES/NO YES/NO SCHEDULE 5 - LIFE INSURANCE POLICY LOANS $ $ $ INSURANCE CO OWNED BY BENEFICIARY FACE VALUE CASH VALUE PLEDGED SCHEDULE 6 - REAL ESTATE (If partially owned, give total property information, not just your share) DATE MORTGAGE % ACQUIRED COST VALUE BALANCE MONTHLY PAYMENT DESCRIPTION & LOCATION OWNED BY $ *Cash Flow is defined as total cash income less debt service, taxes and other cash expenses. NET YEARLY CASH FLOW* Revised 02/15/2013

7 If the space provided is not sufficient, additional schedules may be attached. To indicate ownership in these schedules, circle 1, 2 or J in the appropriate space to indicate Individual 1, Individual 2 or Joint, respectively SCHEDULE 7- NOTES PAYABLE AND ACCOUNTS PAYABLE (Exclude debt reported in Schedule 6) DUE TO OBLIGOR ORIGINAL CURRENT BALANCE PAYMENT TERMS COLLATERAL SCHEDULE 8 CONTINGENT LIABILITIES BORROWING ENTITY DUE TO OBLIGOR LOAN TYPE LOAN CURRENT BALANCE PAYMENT TERMS COLLATERAL PERSONAL INFORMATION Employer: Have you drawn a will? Yes No Title/Position: # of years Executor/trix Accountant/Phone# Have you personally, or any business in which you were an officer, principal or partner ever filed a petition in bankruptcy or has one been filed individually against you? Yes No Number of Dependents: Ages: Are you a defendant in any suits or legal actions? Yes No Are you an Executive Officer, Director, or Principal Shareholder of a bank? Yes No If yes, describe: If yes: Are you a US Citizen? Yes No Bank Name: If No, Status: Do you have any Tax Claims or Disputes? Yes No If yes, describe: The information set forth above is true and correct and is provided to Valley National Bank ( Bank ) for the purpose of obtaining or maintaining credit or other financial accommodations. The undersigned acknowledge and understand that the Bank is relying on the information provided to make a credit decision. Each of the undersigned represents, warrants and certifies that the information provided herein is true, correct and complete. Any willful misrepresentation could result in a violation of FEDERAL LAW. Each of the undersigned agrees to notify the Bank immediately and in writing of any material change in any of the information contained in this statement. The Bank is authorized to confirm any of the information set forth above and any person having knowledge regarding such information is hereby authorized to disclose that information to the Bank. I hereby authorize the Bank from time to time to obtain credit reports on me, to furnish information regarding its credit experience with me to credit reporting agencies and other persons, and to provide copies of this financial statement to its affiliates. As long as any obligation or guarantee of the undersigned to you is outstanding, the undersigned shall supply annually an updated financial statement. This personal financial statement and any other information that the undersigned gives you shall be your property. SIGNATURE DATE SIGNATURE (Other party if joint credit request) DATE Revised 02/15/2013

8 CERTIFICATION OF FINANCIAL STATEMENTS The information contained in the attached statement dated is provided to induce you to extend or to continue the extension of credit to the undersigned or to others upon the guarantee of the undersigned. The undersigned acknowledge and understand that you are relying on the information provided therein in deciding to grant or to continue credit or to accept a guarantee thereof. Each of the undersigned represents, warrants, and certifies that the information provided therein is true, correct and complete. Each of the undersigned agrees to notify you immediately and in writing of any material change in any of the information contained in this statement. You are authorized to make all inquiries you deem necessary to verify the accuracy of the information contained therein and to determine the creditworthiness of the undersigned. As long as any obligation or guarantee of the undersigned to you is outstanding, the undersigned shall supply an updated financial statement on an annual basis. This personal financial statement and any other financial or other information that is provided will be the property of Valley National Bank. IF THERE IS NO JOINT PARTY SHOWN ON THIS STATEMENT, THE APPLICANT CERTIFIES THAT ALL ASSETS SHOWN ON THIS STATEMENT ARE OWNED SOLELY BY THE APPLICANT UNLESS OTHERWISE NOTED. Name Address City, ST, Zip SSN Date of Birth Contingent Obligations? Yes No If yes, please attach schedule listing borrowing entity, due to, amount, terms, monthly payment Name Address City, ST, Zip SSN Date of Birth Are you a defendant in any suits or legal actions? Yes No If yes, describe: Have you drawn a will? Yes No Are you an Executive Officer, Director, or Principal Shareholder of a bank? Yes No Executor/trix: Bank: Have you ever filed a petition in bankruptcy or has one been filed individually against you? Yes No If yes, please clarify: Personal Taxes Paid Through: Amount owing: Are you a US Citizen? Yes No If No, Status: I acknowledge that I have applied for credit from Valley National Bank either personally or as a guarantor for credit. I authorize Valley National Bank to perform a credit investigation on me through credit reporting agencies or other sources it deems appropriate in its underwriting process. Signature Date Signature Date Rev 02/15/2013

BUSINESS LOAN APPLICATION

BUSINESS LOAN APPLICATION BUSINESS LOAN APPLICATION SECTION A: TYPE OF CREDIT APPLYING FOR Type of Loan Amount Requested Business Line of Credit Primary Purpose of this Loan(s): Equipment Term Loan - Length: Letter of Credit Commercial

More information

BUSINESS LOAN APPLICATION

BUSINESS LOAN APPLICATION BUSINESS LOAN APPLICATION New Relationship Existing Relationship Branch: Officer: BUSINESS INFORMATION Business Name Tax I.D. Individual Name(s) Social Security # Date of Birth: Proprietorship Partnership

More information

COMMERCIAL LOAN APPLICATION

COMMERCIAL LOAN APPLICATION COMMERCIAL LOAN APPLICATION IMPORTANT APPLICANT INFORMATION: Federal law requires financial institutions to obtain sufficient information to verify your identify. You may be asked several questions and

More information

BUSINESS LOAN APPLICATION

BUSINESS LOAN APPLICATION BUSINESS LOAN APPLICATION Each owner, shareholder, partner or member owning 20 percent or more interest in the business must sign a personal guaranty. A minimum of 1 guarantor is required regardless of

More information

PENN STATE FEDERAL BUSINESS LOAN APPLICATION

PENN STATE FEDERAL BUSINESS LOAN APPLICATION PENN STATE FEDERAL BUSINESS LOAN APPLICATION Date: Branch: Office: BUSINESS LOAN APPLICATION CHECKLIST Please be sure to include all of the following so that we may process your application as quickly

More information

SCHERTZ BANK & TRUST COMMERCIAL LOAN APPLICATION

SCHERTZ BANK & TRUST COMMERCIAL LOAN APPLICATION SCHERTZ BANK & TRUST COMMERCIAL LOAN APPLICATION LOAN REQUEST Business Term loan Commercial Line of Credit Commercial Real Estate Amount Requested $ Proposed Collateral and Value: Term/Month Business Legal

More information

BUSINESS LOAN APPLICATION

BUSINESS LOAN APPLICATION BUSINESS LOAN APPLICATION Each owner, shareholder, partner or member owning 20 cent or more interest in the business must sign a sonal guaranty. A minimum of 1 guarantor is required regardless of cent

More information

Commercial Loan Application

Commercial Loan Application Commercial Loan Application loans, credit lines, checking whatever it takes... plus someone who makes your business, their business. Loan Requested Term Loan or Real Estate Loan New/Increase Line of Credit

More information

WEDCO. Amount Requested Purpose. Repayment Source

WEDCO. Amount Requested Purpose. Repayment Source WEDCO Wentworth Economic Development Corporation, Inc. 7 Center Street, PO Box 641, Wolfeboro, NH 03894 Phone: 569-4216 Fax: 569-3317 Website: www.wedco NH.org Small Business Loan Application All information

More information

MCE On-Bill Repayment Program Loan Information Request

MCE On-Bill Repayment Program Loan Information Request MCE On-Bill Repayment Program Loan Information Request GENERAL BUSINESS INFORMATION Note: Please print or type all information. Use additional sheets if necessary. Applicant s name (legal business name)

More information

BUSINESS LOAN PACKAGE. First Federal Bank of Florida

BUSINESS LOAN PACKAGE. First Federal Bank of Florida BUSINESS LOAN PACKAGE First Federal Bank of Florida BUSINESS CREDIT APPLICATION INFORMATION ABOUT THE BUSINESS: Legal Business Name Physical Address City State Zip Type of Organization: Sole Proprietorship

More information

Corporation, a copy of the file stamped Articles or Certificate of Incorporation

Corporation, a copy of the file stamped Articles or Certificate of Incorporation Thank you for choosing Frost for your business credit needs. We are committed to helping you determine the best financing option for your business. To assist us, we ask that you complete and submit the

More information

COMMERCIAL LOAN APPLICATION

COMMERCIAL LOAN APPLICATION COMMERCIAL LOAN APPLICATION Thank you for considering Cross River Bank for your commercial loan needs. This application along with other information you supply will provide us with the information needed

More information

B U S I N E S S C R E D I T APPLICATION & AGREEMENT

B U S I N E S S C R E D I T APPLICATION & AGREEMENT B U S I N E S S C R E D I T APPLICATION & AGREEMENT In this Application and Agreement, you and your mean each person signing this Application and Agreement. Company is your business identified in this

More information

BUSINESS LOAN APPLICATION

BUSINESS LOAN APPLICATION Legal Name (exact legal name) BUSINESS LOAN APPLICATION Each owner, shareholder, partner or member owning 20 percent or more interest in the business must sign a personal guaranty. A minimum of 1 guarantor

More information

Greetings from the Lake Region Bank commercial lending staff!

Greetings from the Lake Region Bank commercial lending staff! Greetings from the Lake Region Bank commercial lending staff! To speed up the processing of your application, please bring the below information in with your application appointment: 1. Complete as much

More information

PERSONAL FINANCIAL STATEMENT PAGE 1 of 5

PERSONAL FINANCIAL STATEMENT PAGE 1 of 5 DATE: / / APP. NO.: www.cfsb.com PERSONAL FINANCIAL STATEMENT PAGE 1 of 5 PERSONAL INFORMATION APPLICANT Name: D.O.B. : / / SS # : - - Home Address: Employer: s with Employer: Title : Employer Address:

More information

The Florist Credit Union:

The Florist Credit Union: The Florist Federal Credit Union BUSINESS LOAN APPLICATION I. GENERAL INFORMATION Applicants Name / Borrower (individual business owner or business name): Tax ID Number: Mailing Address: Contact Person:

More information

Business Loan Application

Business Loan Application Business Loan Application Thank you for applying to Nymeo. Please fill out this form in as much detail as possible, attach it to the applicable Supporting Information listed in item 8, and return everything

More information

Small Business Loan Application

Small Business Loan Application Small Business Loan Application Thank you for applying to Sandy Spring Bank. Please fill out this form in as much detail as possible, attach it to the applicable Supporting Information listed in item 8,

More information

CITY OF WARREN REVOLVING LOAN FUNDS

CITY OF WARREN REVOLVING LOAN FUNDS T hank you for asking about the City of Warren Revolving Loan Funds. We are pleased that you are taking the initiative to open or expand your business. Owning a business takes dedication, hard work and

More information

BUSINESS EXPRESS LENDING LOAN REQUEST. Thank you for your interest in Fox Chase Bank. In this document you will find:

BUSINESS EXPRESS LENDING LOAN REQUEST. Thank you for your interest in Fox Chase Bank. In this document you will find: BUSINESS EXPRESS LENDING LOAN REQUEST Thank you for your interest in Fox Chase Bank. In this document you will find: Commercial Loan Application Personal Financial Statement Form Please complete these

More information

BUSINESS INFORMATION Must be completed in its entirety OWNERSHIP

BUSINESS INFORMATION Must be completed in its entirety OWNERSHIP BUSINESS INFORMATION Must be completed in its entirety SBA LOAN APPLICATION Company Name DBA or Franchise (if applicable) Phone Fax E-Mail Street Suite # Website City State Zip Code Date Company Founded

More information

Business Loan Application Information Requirements

Business Loan Application Information Requirements Business Loan Application Information Requirements Completed Loan Application. (Form provided) 1626 6 th Avenue North Lewiston, Idaho 83501 Phone: (208) 746-0015 Fax: (208) 746-0576 Personal Financial

More information

MICROLOAN APPLICATION CHECKLIST (Loans $50,000)

MICROLOAN APPLICATION CHECKLIST (Loans $50,000) checklist. INSTRUCTIONS Please complete this application and provide the information requested on the application checklist. Confirmation of receipt of a request will be made within approximately 5 business

More information

Instructions To Fill Out Personal Financial Statement

Instructions To Fill Out Personal Financial Statement Member FDIC Instructions To Fill Out Personal Financial Statement We suggest that you start with the Schedules in Part C, and then carry forward the totals to the Financial Data section on page 2. Part

More information

BUSINESS LOAN APPLICATION CHECKLIST

BUSINESS LOAN APPLICATION CHECKLIST Growing Businesses, Building Communities BUSINESS LOAN APPLICATION CHECKLIST Please complete the attached loan application, provide all requested documentation, and mail to: Texas Mezzanine Fund, Inc.

More information

MSUFCU Business Loan Application

MSUFCU Business Loan Application MSUFCU Business Loan Application Section 1 - Credit Requested Total Funds Needed Less Funds Provided by You - ( ) Less Funds Provided by Others - ( ) Total Loan Needed Section 2 - Business Information

More information

Business Credit Application

Business Credit Application Business Credit Application (Please type or print all information. Answers requiring additional space submitted on separate pages.) Firm Name: Firm Address: Firm Telephone: Firm Web Site URL: Email: EIN/Tax

More information

Business Loan Application

Business Loan Application Business Loan Application To be completed by Borrower(s) Select all that apply. Purpose The following information is needed to better understand the lending needs for your business. Purchase Equipment

More information

EZ BUSINESS LOAN APPLICATION

EZ BUSINESS LOAN APPLICATION For Bank Purposes Only: Relationship Manager: Date Application Taken: Direct Mail Ref by Existing Cust Walk-in Other: Advertising Special Program EZ BUSINESS LOAN APPLICATION For commercial loan requests

More information

COMMERCIAL LOAN APPLICATION

COMMERCIAL LOAN APPLICATION COMMERCIAL LOAN APPLICATION Thank you for considering Enterprise National Bank N.J. for your commercial loan needs. This application along with other information you supply will provide us with the information

More information

Application Package Completeness Checklist

Application Package Completeness Checklist Application Package Completeness Checklist All Businesses Business Loan Application dated within the last 30 days Schedule of Business Debt for each business entity participating in the loan Personal Financial

More information

GreenStreet Home Equity Loan

GreenStreet Home Equity Loan GreenStreet Home Equity Loan In an effort to give you the best possible service, we would like to make you aware of the information that you will need to provide the Bank, in addition to the enclosed documents.

More information

Uniform Residential Loan Application

Uniform Residential Loan Application This application is designed to be completed by the applicant(s) with the Lender s assistance. Applicants should complete this form as Borrower or Co-Borrower, as applicable. Co-Borrower information must

More information

COMMERCIAL/BUSINESS LOAN APPLICATION PACKAGE

COMMERCIAL/BUSINESS LOAN APPLICATION PACKAGE COMMERCIAL/BUSINESS LOAN APPLICATION PACKAGE CONTENTS: Member Business Loan Application Authorization to Obtain Credit Information Financial Statement Schedule of Business Debt REAL ESTATE & COMMERCIAL

More information

GreenStreet Home Equity Loan

GreenStreet Home Equity Loan GreenStreet Home Equity Loan In an effort to give you the best possible service, we would like to make you aware of the information that you will need to provide the Bank, in addition to the enclosed documents.

More information

BANKWEST MORTGAGE MANUFACTURED HOUSING CREDIT APPLICATION

BANKWEST MORTGAGE MANUFACTURED HOUSING CREDIT APPLICATION BANKWEST MORTGAGE MANUFACTURED HOUSING CREDIT APPLICATION DATE OF APPLICATION: SALES PRICE: DOWN PAYMENT (10% Minimum)*: PURPOSE OF LOAN: PURCHASE CONSTRUCTION REFINANCE LOAN AMOUNT: HOME WILL BE: PRIMARY

More information

PATHSTONE ENTERPRISE CENTER, INC. Small Business Loan Application

PATHSTONE ENTERPRISE CENTER, INC. Small Business Loan Application PATHSTONE ENTERPRISE CENTER, INC. Small Business Loan Application PathStone Enterprise Center, Inc. 400 East Ave. Rochester, NY 14607 Phone: (585) 340-3705 Fax: (585) 340-3326 TDD: 800-545-1833 Web Site:

More information

Commercial Loan Application

Commercial Loan Application Application For Commercial Loan Application Commercial Loan Date: The information that is required for the completion of this application is needed for the Union Bank to make a valid decision to grant

More information

RELIANT COMMUNITY FEDERAL CREDIT UNION BUSINESS CREDIT APPLICATION

RELIANT COMMUNITY FEDERAL CREDIT UNION BUSINESS CREDIT APPLICATION Main Office: 10 Benton Pl., PO Box 40, Sodus, NY 14551 800.724.9282 reliantcu.com Brockport Canandaigua Geneva Henrietta Irondequoit Macedon Newark Sodus Webster RELIANT COMMUNITY FEDERAL CREDIT UNION

More information

Business Loan Application

Business Loan Application Member FDIC Business Loan Application To expedite processing of your request, please ensure that this application has been completely filled out and that any additional documents are attached. Notice to

More information

BUSINESS LOAN APPLICATION

BUSINESS LOAN APPLICATION General Information 20 East Bayard Street, PO Box 111 Seneca Falls, NY 13148 BUSINESS LOAN APPLICATION Business Taxpayer ID #: Business Address: Telephone #: Cell Phone #: E-mail contact: Fax #: Nature

More information

Business Loan Application

Business Loan Application Business Loan Application Applicant, please note: if you are married or a registered domestic partner (RDP) and live in a community property state such as California, all questions relating to your spouse

More information

First Commercial Bank, N.A. Home Equity Credit Application

First Commercial Bank, N.A. Home Equity Credit Application FCB First Commercial Bank, N.A. Home Equity Credit Application Important: Read these directions before completing this application. If you are applying for individual credit in your own name, are not married,

More information

If you need assistance completing this application, please email us at bdeangelis@coosedc.org

If you need assistance completing this application, please email us at bdeangelis@coosedc.org LOAN APPLICATION Coös Economic Development Corporation (CEDC) CEDC If you need assistance completing this application, please email us at bdeangelis@coosedc.org Part A: BUSINESS INFORMATION REGISTERED

More information

BUSINESS CREDIT APPLICATION

BUSINESS CREDIT APPLICATION BUSINESS CREDIT APPLICATION INFORMATION ABOUT THE BUSINESS: Legal Business Name Physical Address City State Zip Type of Organization: Sole Proprietorship Partnership C-Corp S-Corp LLC Other Tax Identification

More information

Belco Community Credit Union BUSINESS LOAN APPLICATION

Belco Community Credit Union BUSINESS LOAN APPLICATION BUSINESS LOAN APPLICATION Completed on / / APPLICANT INFORMATION Small Business Lending PH: 717-720-6408 Fax: 717-720-6257 449 Eisenhower Blvd. Harrisburg, PA 17111 Page 1 of 2 Applicant Name Credit Request

More information

USDA IRP LOAN FUND PROSPERA BUSINESS NETWORK 2015 CHARLOTTE STREET, SUITE 1 BOZEMAN, MT 59718 406.587.3113

USDA IRP LOAN FUND PROSPERA BUSINESS NETWORK 2015 CHARLOTTE STREET, SUITE 1 BOZEMAN, MT 59718 406.587.3113 USDA IRP LOAN FUND Prospera s Intermediary Relending Program Revolving Loan Fund ( IRP Loan Fund ) provides financing to businesses located in Gallatin County and Park County. Prospera s IRP Loan Fund

More information

Bank Business Loan Application Page 1 of 2

Bank Business Loan Application Page 1 of 2 Bank Business Loan Application Page 1 of 2 Section 1 Business Information Company Name DBA or Franchise (if applicable) Phone Fax E-Mail Street Suite # Website City State Zip Code Date Company Founded

More information

Uniform Residential Loan Application

Uniform Residential Loan Application Uniform Residential Loan Application This application is designed to be completed by the applicant(s) with the Lender s assistance. Applicants should complete this form as Borrower or Co-Borrower, as applicable.

More information

Dear Applicant(s): Investors Bank Operations Center 101 Wood Avenue South Iselin, NJ 08830

Dear Applicant(s): Investors Bank Operations Center 101 Wood Avenue South Iselin, NJ 08830 Dear Applicant(s): Thank you for applying for a Home Equity Loan with Investors Bank. In order to begin the application process, please complete the paperwork within this Application Packet: 1. ECOA Notice

More information

First Legacy Generations Greater Kinston Latino Shepherd. Dear Small Business Applicant:

First Legacy Generations Greater Kinston Latino Shepherd. Dear Small Business Applicant: 1 Dear Small Business Applicant: Thank you for contacting your Credit Union about a loan for your small business. We look forward to working with you to find financing that best meets your needs. To make

More information

PIE CREDIT UNION HOME IMPROVEMENT/HOME EQUITY LOAN APPLICATION

PIE CREDIT UNION HOME IMPROVEMENT/HOME EQUITY LOAN APPLICATION PIE CREDIT UNION HOME IMPROVEMENT/HOME EQUITY LOAN APPLICATION LOAN AMOUNT TERM DATE HOMESTEAD NON-HOMESTEAD (Months) (Rental or Second Homes) Yes No Address of property to be improved and/or secured:

More information

CITADEL BUSI ESS ACCOU T / BUSI ESS LOA APPLICATIO

CITADEL BUSI ESS ACCOU T / BUSI ESS LOA APPLICATIO CITADEL BUSI ESS ACCOU T / BUSI ESS LOA APPLICATIO Part 1 - Business Information Account Number Date Business Established: State of Incorporation/ Organization: Type of Entity: Individual/ Sole Proprietorship

More information

Uniform Residential Loan Application

Uniform Residential Loan Application Uniform Residential Loan Application This application is designed to be completed by the applicant(s) with the Lender's assistance. Applicants should complete this form as "" or "Co-", as applicable. Co-

More information

Uniform Residential Loan Application

Uniform Residential Loan Application Uniform Residential Loan Application This application is designed to be completed by the applicant(s) with the Lender's assistance. Applicants should complete this form as "" or "," as applicable. information

More information

Uniform Residential Loan Application

Uniform Residential Loan Application Uniform Residential Loan Application This application is designed to be completed by the applicant(s) with the Lender s assistance. Applicants should complete this form as or Co-, as applicable. Co- information

More information

Mortgage Loan Application Checklist

Mortgage Loan Application Checklist Mortgage Loan Application Checklist The following documentation is needed in order to begin processing your loan request. Please return the requested items as soon as possible to ensure a smooth and quick

More information

COMMERCIAL LOAN APPLICATION PACKAGE

COMMERCIAL LOAN APPLICATION PACKAGE COMMERCIAL LOAN APPLICATION PACKAGE This instruction sheet is designed to assist you in submitting a completed loan package, which will enable us to respond to your loan application as quickly and efficently

More information

Uniform Residential Loan Application

Uniform Residential Loan Application Uniform Residential Loan Application This application is designed to be completed by the applicant(s) with the Lender's assistance. Applicants should complete this form as "" or "", as applicable. information

More information

MORTGAGE PRE-APPROVAL

MORTGAGE PRE-APPROVAL MORTGAGE PRE-APPROVAL THE FIRST STEP TO OWNING YOUR OWN HOME Welcome Before you start looking for a home, arm yourself with the knowledge of what you can afford to spend and borrow by obtaining a mortgage

More information

Business Loan Program

Business Loan Program Business Loan Program Gulf Coast Renaissance Corporation extends credit to startups as well as established businesses through its Commercial Lending Program While specific terms are detailed in this program

More information

I. TYPE OF MORTGAGE AND TERMS OF LOAN

I. TYPE OF MORTGAGE AND TERMS OF LOAN Uniform Residential Loan Application This application is designed to be completed by the applicant(s) with the Lender s assistance. Applicants should complete this form as Borrower or Co-Borrower, as applicable.

More information

Uniform Residential Loan Application

Uniform Residential Loan Application BANK OF COMMERCE, NMLS# 405284 Originator: BRIANALLEN WILLIAM BERMINGHAM, NMLS# 488684 This application is designed to be completed by the applicant(s) with the Lender's assistance. Applicants should complete

More information

Uniform Residential Loan Application

Uniform Residential Loan Application This application is designed to be completed by the applicant(s) with the Lender s assistance. Applicants should complete this form as Borrower or Co-Borrower, as applicable. Co-Borrower information must

More information

SECOND MORTGAGE APPLICATION CHECKLIST

SECOND MORTGAGE APPLICATION CHECKLIST SECOND MORTGAGE APPLICATION CHECKLIST First City Credit Union, NMLS# 649182 This application is designed to be completed by the applicant(s) with the Lender's assistance. Applicants should complete this

More information

BUSINESS LOAN APPLICATION COMPANY INFORMATION

BUSINESS LOAN APPLICATION COMPANY INFORMATION Business Name Borrowing Entity* COMPANY INFORMATION Key Contact E-Mail Address Address Mobile Phone # City / State / Zip Bus. Telephone # County Business Industry Tax ID Number BUSINESS LOAN APPLICATION

More information

LIABILITIES. Cash on Hand and in Banks $ Outstanding Bills $ Savings Accounts $ Notes Payable to Banks and Others $

LIABILITIES. Cash on Hand and in Banks $ Outstanding Bills $ Savings Accounts $ Notes Payable to Banks and Others $ Small Business Loan Pool Application Page 1 of 5 (Rev. August 2010) Date: 5 AND 10 SMALL B USINESS L OAN F UND ECONOMIC DEVELOPMENT AUTHORITY OF FLOYD COUNTY SECTION I: GENERAL INFORMATION REQUEST FOR

More information

Residential Loan Application for Reverse Mortgages

Residential Loan Application for Reverse Mortgages Residential Loan Application for Reverse Mortgages This application is designed to be completed by the applicant(s) with the lender s assistance. Applicants should complete this form as Borrower or Co-Borrower,

More information

BORROWER'S SIGNATURE AUTHORIZATION

BORROWER'S SIGNATURE AUTHORIZATION BORROWER'S SIGNATURE AUTHORIZATION (s) Name and Address Lender Name and Address Subject Property Address Lender Contact Lender Phone No. Loan Number Authorization I hereby authorize the Lender to verify

More information

Home Equity Loan Application

Home Equity Loan Application LCMS Rostered Church Worker Home Equity Loan Application INSTRUCTIONS: This is an interactive form that allows you to enter information in each field by using the tab key to move through the form. The

More information

COMMERCIAL BUSINESS PURPOSE LOAN APPLICATION

COMMERCIAL BUSINESS PURPOSE LOAN APPLICATION COMMERCIAL BUSINESS PURPOSE LOAN APPLICATION IMPORTANT: Read these instructions before completing this application. Applicants should complete this form (including the referenced addenda) as or Co-, as

More information

Purchase Pre-qualify Primary Residence Secondary Residence or Investment. Current Address: # of Dependents Age(s)

Purchase Pre-qualify Primary Residence Secondary Residence or Investment. Current Address: # of Dependents Age(s) Pre-Approval Application A Program of Greater Metropolitan Housing Corporation (GMHC) In partnership with Dayton s Bluff Neighborhood Housing Services (DBNHS) *** PLEASE PRINT OR TYPE ALL INFORMATION CLEARLY***

More information

Personal Financial Statement (Business Loan)

Personal Financial Statement (Business Loan) Personal Financial Statement (Business Loan) Financial Statement Information as of: This is a statement of: my individual financial condition our joint financial condition trust financial condition only

More information

IV. EMPLOYMENT INFORMATION

IV. EMPLOYMENT INFORMATION Uniform Residential Loan Application This application is designed to be completed by the applicant(s) with the Lender's assistance. Applicants should complete this form as "" or "Co-", as applicable. Co-

More information

If this is an application for joint credit, Borrower and Co-Borrower each agree that we intend to apply for joint credit (sign below):

If this is an application for joint credit, Borrower and Co-Borrower each agree that we intend to apply for joint credit (sign below): UNIFORM RESIDENTIAL LOAN APPLICATION This application is designed to be completed by the applicant(s) with the Lender's assistance. Applicants should complete this form as "Borrower" or "Co-Borrower",

More information

Home Equity Line of Credit Application

Home Equity Line of Credit Application Applicant s Name 322 East Main Avenue Bismarck, ND 58501 (701) 250-3000 Lender Please tell us about yourself and co-applicant, if applicable Co-Applicant s Name Home Equity Line of Credit Application Home

More information

CITADEL BUSI ESS ACCOU T / BUSI ESS LOA APPLICATIO

CITADEL BUSI ESS ACCOU T / BUSI ESS LOA APPLICATIO CITADEL BUSI ESS ACCOU T / BUSI ESS LOA APPLICATIO Part 1 - Business Information Account Number Date Business Established: State of Incorporation/ Organization: Type of Entity: Individual/ Sole Proprietorship

More information

Business Loan Application

Business Loan Application Individual Information Applicant Name: Phone#: Birth Date: Social Security #: Home Address: Email: Co-Applicant Name: Phone #: Birth Date: Social Security #: Home Address: Email: Have you or your spouse

More information

BaltimoreMICRO - Revolving Loan Fund

BaltimoreMICRO - Revolving Loan Fund BaltimoreMICRO - Revolving Loan Fund sbrcbaltimore.com FACT SHEET Description and purpose Administered by the Baltimore Development Corporation (BDC), the purpose BaltimoreMICRO is to provide existing

More information

Universal Credit Application (Consumer Real Estate) 1. Type of Application

Universal Credit Application (Consumer Real Estate) 1. Type of Application FNB BANK Universal Credit Application (Consumer Real Estate) 1. Type of Application (Check only one of the four checkboxes; and sign, if joint credit. Use another application if more than two applicants.)

More information

Grants State Bank. Requirements for Conventional Commercial Real Estate Loans

Grants State Bank. Requirements for Conventional Commercial Real Estate Loans Grants State Bank Requirements for Conventional Commercial Real Estate Loans The items listed below are required to process your loan with Grants State Bank (GSB). Please complete the applicable forms

More information

FAÇADE RENOVATION PROGRAM Business Credit Application

FAÇADE RENOVATION PROGRAM Business Credit Application FAÇADE RENOVATION PROGRAM Business Credit Application Loan Amount Requested: Purpose: Bricks Façade Renovation for property located at: Edmond, OK 73034 Business Summary: Business Legal Name (Applicant):

More information

Uniform Residential Loan Application Washington Federal Savings

Uniform Residential Loan Application Washington Federal Savings Uniform Residential Loan Application Washington Federal Savings This application is designed to be completed by the Applicant(s) with the Lender's assistance. Applicants should complete this form as "Borrower"

More information

Business Loan Application Package

Business Loan Application Package Business Loan Application Package Thank you for your interest in applying for a business loan from the New Mexico Community Development Loan Fund (The Loan Fund), an Equal Opportunity Lender. For us to

More information

Application for Commercial Real Estate Loan

Application for Commercial Real Estate Loan Application for Commercial Real Estate Loan Branch: Customer/Borrower Legal Name: Date Physical Street Address: City State CA Fed Tax ID No. Social Security Zip Telephone No. Fax No. Individual Corporation

More information

BUSINESS LOAN APPLICATION

BUSINESS LOAN APPLICATION BUSINESS LOAN APPLICATION One Commerce Park P. O. Box 160 Shallowater,Texas 79363 Phone - 806.832.4525 Fax - 806.832.5849 EMAIL ADDRESS - MARK@FSBSHALLOWATER.COM Page 9 of 23 Commercial Loan Application:

More information

Uniform Residential Loan Application

Uniform Residential Loan Application Uniform Residential Loan Application This application is designed to be completed by the applicant(s) with the Lender's assistance. Applicants should complete this form as "" or "," as applicable. information

More information

Uniform Residential Loan Application

Uniform Residential Loan Application Uniform Residential Loan Application This application is designed to be completed by the applicant(s) with the Lender's assistance. Applicants should complete this form as "" or "," as applicable. information

More information

Loan Requirements Checklist

Loan Requirements Checklist Loan Requirements Checklist Purchase or Refinance Underwriting & Packaging Fee $425.00 Application Package Pages 4 through 8 Copies of account statements for: Personal Savings, Checking, Money Market,

More information

UNIFORM RESIDENTIAL LOAN APPLICATION

UNIFORM RESIDENTIAL LOAN APPLICATION UNIFORM RESIDENTIAL LOAN APPLICATION This application is designed to be completed by the applicant(s) with the Lender s assistance. Applicants should complete this form as or Co-, as applicable. Co- information

More information

Business Loan Application

Business Loan Application Business Loan Application Business Name (exact legal name): General Information DBA (if applicable): Street Address of Principal Registered Office: City: State: Zip Code: County: Current Mailing Address

More information

WBS FINANCIAL CORPORATION

WBS FINANCIAL CORPORATION Mergers & Acquisitions Investment Banking BUSINESS FINANCE APPLICATION PACKAGE Corporate: 15851 Dallas Parkway, Suite 600 Addison, TX 75001 Corporate: 972-308-8545 Corporate Fax: 972-308-8546 Business

More information

Zionsville Micro Loan Program

Zionsville Micro Loan Program Zionsville Micro Loan Program A Program of the Zionsville Redevelopment Commission OVERVIEW The Zionsville Micro Loan Program is a unique financial tool available to small businesses in the Zionsville

More information

LOAN APPLICATION (VISA SELECT AND VISA PLATINUM)

LOAN APPLICATION (VISA SELECT AND VISA PLATINUM) LOAN APPLICATION (VISA SELECT AND VISA PLATINUM) Loan Type (e.g. vehicle, Visa, Agency Secured, etc.) Requested Loan Amount $ Variable Rate MARRIED APPLICANTS MAY APPLY FOR AN INDIVIDUAL ACCOUNT. Check

More information

FIRST BANK OF MANHATTAN MORTGAGE LOAN ORIGINATORS NMLS ID #405508

FIRST BANK OF MANHATTAN MORTGAGE LOAN ORIGINATORS NMLS ID #405508 ITEMS TO BE SUBMITTED WITH CONSTRUCTION MORTGAGE APPLICATION Bring In: Pay stubs from the last 30 days W-2 s and Tax Returns from the last 2 years Bank statements from last 2 months (All Pages) Copy of

More information

Business Loan Application Packet

Business Loan Application Packet Business Loan Application Packet ABOUT THIS PACKET Applying for your business loan will require you to complete three forms and may require you to gather several documents. Complete these forms accurately

More information

Thank you for considering Heritage Grove as your mortgage loan provider!

Thank you for considering Heritage Grove as your mortgage loan provider! Cindy Benson, RE Loan Dept. 631 Winter St NE, Salem OR 97301 cbenson@ourgrovecu.com 503 485 4373 phone 503 371 7323 fax NMLS #431433 Thank you for considering Heritage Grove as your mortgage loan provider!

More information

First National Bank. of Trenton HOME EQUITY LOANS

First National Bank. of Trenton HOME EQUITY LOANS HOME EQUITY LOANS Thank you for considering the First National Bank for your Home Equity Loan. Listed below are items necessary in evaluating your request for a Home Equity Loan with the First National

More information